When he became mature, he attempted to satisfy himself in coitus with puellis. He induced powerful erection by kissing the hair, but could not induce ejaculation. Therefore, he was unsatisfied by coitus. At the same time, his favorite idea was coitus with kissing of hair; but even this did not satisfy him, because it did not induce ejaculation. _Faute de mieux_, he once stole the combings of a lady’s hair, put it in his mouth, and masturbated while calling its owner up in imagination. In the dark a woman could not interest him, because he could not then see her hair. Flowing hair also had no charm for him; nor did the hair about the genitals. His erotic dreams were all about hair. Of late the patient had become so excited that he had a kind of satyriasis. He was incapable of business, and felt so unhappy that he sought to drown his sorrow in alcohol. He drank large quantities, had alcoholic delirium, an attack of alcoholic epilepsy, and required hospital treatment. After the intoxication had passed away, under appropriate treatment, the sexual excitement soon disappeared; and when the patient was discharged, he was freed from his fetichistic idea, save for its occasional occurrence in dreams. The physical examination showed normal genitals and no degenerative signs whatever. Such cases of hair-fetichism, which lead to attacks on female hair, seem to occur everywhere, from time to time. In November, 1890, according to reports in American newspapers, several cities in the United States were troubled by such hair-despoilers. (b) _The Fetich is an Article of Female Attire._—The great importance of adornment, ornament, and dress, in the normal vita sexualis of man, is very generally recognized. Culture and fashion[97] have, to a certain extent, endowed woman with artificial sexual characteristics, the removal of which, when woman is seen unattired, in spite of the normal sensual effect of this sight, may exert an opposite influence.[98] It should not be overlooked that female dress often shows a tendency to emphasize and exaggerate certain sexual peculiarities,—secondary sexual characteristics (bosom, waist, hips). In most individuals the sexual instinct awakes long before there is any possibility or opportunity of intimate intercourse, and the early desires of youth are concerned with the ordinary appearance of the attired female form. Thus it happens that not infrequently, at the beginning of the vita sexualis, ideas of the persons exerting sexual charms and ideas of their attire become associated. This association may be lasting—the attired woman may be always preferred—if the individuals dominated by this perversion do not in other respects attain to a normal vita sexualis, and find gratification in natural charms.